Autopsy Findings in a Patient with Post-Obstructive Pulmonary Edema

Marissa Krizelda Santos; Ann Margaret Chang; Jimmy Chang

doi:10.21141/PJP.2019.07

Authors

Marissa Krizelda Santos St. Luke’s Medical Center, Quezon City, Philippines http://orcid.org/0000-0002-6989-5493
Ann Margaret Chang St. Luke's Medical Center, Quezon City, Philippines http://orcid.org/0000-0002-9036-3678
Jimmy Chang St. Luke’s Medical Center, Quezon City, Philippines http://orcid.org/0000-0002-2811-6027

DOI:

https://doi.org/10.21141/PJP.2019.07

Keywords:

sleep apnea, obstructive, pulmonary edema, autopsy

Abstract

Post-obstructive pulmonary edema (POPE), a form of non-cardiogenic pulmonary edema, is a significant entity in anesthesiology and head/neck surgery. This rapidly developing and life-threatening condition occurs following the relief of the obstruction in the upper airways. This condition has two main categories with distinct etiology. We report the case of a 62-year-old Filipino female who developed POPE after the removal of the endotracheal tube following a routine biopsy of her maxillary mass. Immediately after the removal of the endotracheal tube, she presented with episodes of hypotension and desaturation. Chest x-ray post-re-intubation revealed bilateral lung opacities. The autopsy findings of the respiratory and cardiovascular system are presented.

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Author Biographies

Marissa Krizelda Santos, St. Luke’s Medical Center, Quezon City, Philippines

Institute of Pathology

Ann Margaret Chang, St. Luke's Medical Center, Quezon City, Philippines

Pathology Consultant, Institute of Pathology

Jimmy Chang, St. Luke’s Medical Center, Quezon City, Philippines

Comprehensive Sleep Disorder Center

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